Individual
TRANG T PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 NW 12TH ST, OKLAHOMA CITY, OK 73103-4800
(405) 232-8631
Mailing address
4110 RUFFIN CT, EDMOND, OK 73025-0825
(405) 509-4269
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15354
OK
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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